Rare Case of Unicornuate Uterus with Broad Ligament Fibroid & Single Kidney Managed at Sangolkar Hospital, Sangli

When Common Symptoms Hide Rare Congenital Anomalies – Precision Diagnosis & Laparoscopic Management

👨‍⚕️ Surgeon: Dr. Rahul Ramhari Sangolkar – Advanced Laparoscopic Gynecologist🏥 Hospital: Sangolkar Hospital, Near Maratha Samaj, Ambedkar Road, Sangli – 416416🩺 Qualification: MBBS, DGO, DNB (Mumbai), Diploma in Laparoscopy (Germany)🤝 Referred by: Dr. Bharat Atpadkar, Haripur Road, Sangli

Case Overview

A 28-year-old female presented with:

• Chronic left-sided abdominal pain for 1 year

• Initial Ultrasound (USG) findings:

  • Suspected left ovarian cyst (3 cm)

  • Probable left pelvic kidney

    
    

Since small cysts are usually benign and managed conservatively, no immediate surgery was advised. However, persistent symptoms despite treatment warranted further evaluation.

Advanced Diagnostic Findings

A CT scan revealed a rare and complex anatomy:

• Unicornuate uterus on the right side

• Absence of uterus on the left side

• Left-sided mass identified as a fibroid arising from an undeveloped broad ligament

• Left kidney absent (renal agenesis)

• Only one functional kidney on the right side

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👉 The mass seen on ultrasound as a pelvic kidney was actually a fibroid, highlighting diagnostic limitations of USG in complex cases.

Final Diagnosis

• Unicornuate uterus (Müllerian anomaly)

• Broad ligament fibroid from rudimentary structure

• Left renal agenesis (single kidney)

• Cyst of undeveloped left fallopian tube (misdiagnosed as ovarian cyst)

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Procedure: Advanced Laparoscopic Management

⚕️ Surgical Highlights:

• Diagnostic laparoscopy to confirm altered anatomy

• Laparoscopic removal of fibroid

• Identification and removal of fallopian tube cyst

• Careful dissection due to abnormal anatomy and single kidney status

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🎥 A surgical video was recorded for academic and educational purposes.

Execution & Surgical Expertise

👨‍⚕️ Performed by: Dr. Rahul Ramhari Sangolkar🔬 Advanced laparoscopic visualization enabled:

• Accurate diagnosis

• Safe dissection in distorted anatomy

• Preservation of surrounding vital structures

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Post-Operative Outcome

✔️ Fibroid successfully removed

✔️ Pain resolved

✔️ Patient recovered well

✔️ Discharged in stable condition

Why This Case Is Rare & Important

• Unicornuate uterus with renal agenesis is a rare congenital combination

• Demonstrates how common diagnoses (ovarian cyst/pelvic kidney) can be misleading

• Emphasizes the importance of advanced imaging like CT scan

• Showcases the role of laparoscopy in managing rare gynecological conditions safely

  
  

Why Choose Sangolkar Hospital, Sangli?

🏥 Expertise in complex and rare gynecological cases

🔬 Advanced laparoscopic diagnostic and surgical capabilities

🩺 Specialized care for congenital uterine anomalies

✅ Trusted referral center for difficult cases in Sangli region